Texas wage form 2026

1. Click ‘Get Form’ to open the Texas Wage Form in our editor.
2. Begin by entering the employee's name, mailing address, and Social Security Number in the designated fields. Ensure accuracy as this information is crucial for processing.
3. Fill in the employer’s business name and mailing address. This helps establish the connection between the employee and employer for claims.
4. Indicate the date of hire and date of injury. This information is essential for calculating benefits.
5. Select the employment status at the time of injury by checking all applicable boxes (e.g., full-time, part-time).
6. Report wage information for the 13 weeks prior to the injury. Use the provided columns to detail gross wages earned during each period.
7. Complete nonpecuniary wage information if applicable, indicating whether benefits were provided prior to injury.
8. Finally, certify that all information is complete and accurate by signing and dating the form before submission.

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